Fibrocystic Changes and Fibroadenomas in Breast Health - Breast and Thyroid

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Fibrocystic changes and fibroadenoma?


Hello, Dr.
Hsieh: I would like to ask about my situation.
Last year, I experienced breast tenderness and underwent a surgical examination, which revealed a fibrocystic change and a fibroadenoma (0.5 cm).
The doctor advised that I only need to have regular check-ups every six months.
Now, due to a decrease in my menstrual flow, I am considering taking evening primrose oil to help regulate my menstrual cycle, but I am unsure if this is appropriate.
I have found information online suggesting that evening primrose oil may promote the growth of fibroadenomas.
I would appreciate your response.
Thank you!

Annita, 30~39 year old female. Ask Date: 2009/03/26

Dr. Xie Wenhuai reply Breast and Thyroid


Fibroadenomas and fibrocystic changes are typically benign and rarely transform into malignant conditions.
Given that your tumor is only 0.5 centimeters in size, it can be monitored through follow-up examinations.
As for questions related to evening primrose oil, I recommend consulting a traditional Chinese medicine practitioner regarding the efficacy and side effects of herbal remedies, as I am not very familiar with that.
Thank you for your inquiry.

Reply Date: 2009/03/26

More Info


Understanding fibrocystic changes and fibroadenomas is crucial for breast health, especially for women experiencing breast pain or discomfort. Fibrocystic changes refer to a common condition characterized by the presence of cysts and fibrous tissue in the breast, often leading to lumpiness and tenderness, particularly in relation to the menstrual cycle. These changes are generally benign and are thought to be influenced by hormonal fluctuations, particularly estrogen.

Fibroadenomas, on the other hand, are solid, benign tumors made up of glandular and stromal (connective) tissue. They are typically well-defined, movable lumps that can vary in size and are most common in younger women. While fibroadenomas are also benign, they can sometimes cause concern due to their growth patterns and the potential for changes over time.

In your case, the presence of fibrocystic changes and a fibroadenoma (0.5 cm) suggests that you are experiencing typical benign breast conditions. The recommendation for regular check-ups every six months is standard practice to monitor any changes in size or characteristics of these lesions, ensuring that they remain benign.

Regarding your question about evening primrose oil (月見草油), it is often used as a dietary supplement to help alleviate symptoms associated with premenstrual syndrome (PMS) and to promote overall hormonal balance. However, there is some debate about its effects on breast tissue, particularly in women with existing fibrocystic changes or fibroadenomas. Some anecdotal reports suggest that evening primrose oil might exacerbate breast tenderness or potentially influence the growth of fibroadenomas, although scientific evidence on this matter is limited.

It is essential to approach the use of any supplement with caution, especially when dealing with breast health. While evening primrose oil is generally considered safe for most people, it is advisable to consult with your healthcare provider before starting any new supplement, particularly if you have a history of breast conditions. Your doctor can provide personalized advice based on your medical history and current health status.

In summary, while fibrocystic changes and fibroadenomas are common and typically benign, regular monitoring is essential. If you are considering taking evening primrose oil, discussing it with your healthcare provider will help ensure that it aligns with your health goals and does not interfere with your breast health. Remember, maintaining open communication with your healthcare team is vital for managing your breast health effectively.

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